HomeMy WebLinkAboutE2022-0358 - PermitsK,I;„;, City of Newport Beach - Building Division *E2022-0358* Electrical Permit: E2022-0358
c AY. 100 Civic Center Drive, Newport Beach, CA 92660
p Project No
�; �.. Permit Counter Phone (949)644-3288 _
n' w+1k a q�I �j �t Inspection Requests Phone (949)644-3255
Job Address: 205 33RD ST
Bldg: 1 Floor:
Suite:
-
Description of Work: ELEC: OVER TO UNDERGROUND SERVICE & UPGRADE ELECTRICAL MAIN SERVICE
PANEL TO 200A
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Inspector Area: 1
Code Edit: 2019
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Legal Description: LAKE TR BLK 133 LOT 22
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Owner: RAY TED
Contractor:
CONTORELLI CONSTRUCTION INC
Worker's Compensation InsuranceIMO
Address: 205 33RD ST
Address:
17686 METZLER LANE
Carrier: NO EMPLOYEES
NEWPORT BEACH, CA 92663
HUNTINGTON BEACH CA 92647
Policy No:
Phone:
Phone:
949-290-4630
Expire :
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Con State Lic:
319552
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IssuedDate:06/10/2022
Lic. Expire:
08/31/2022
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Bus Lic:
BT30065552
Processed By: (3
Lic Exp Date:
01/3112023
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FEES
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New Construction
Receptacle/Switch/Outlets Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0 $0.00 0 to 1 HP/KW/KVA:
0
$0.00 Temp Underground:
0
$0.00
Multi -Family: 0
$0.00
Fixtures:
0 $0.00 1 to 10 HP/KW/KVA:
0
$0.00 Sub Panel:
0
$0.00
1-2 Family: 0
$0.00
Sep Circuits:
0 $0.00 10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
Low Voltage
0 $0.00 50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00 Record Mgmt Fee:
$0.00
0-600V up to 20OA: 1
$47.00
Branch Circuit:
0 $0.00
Plan Check Fee:
$0.00
0-600V over 20OA: 0
$0.00
Each Add Circuit:
0 $0.00 Piggy Backrremp Power:
0
$0.00 Investigation Fee:
$0.00
Over 600V or 1000A: 0
$0.00
Time Clocks:
0 $0.00 Temp Power Pole:
0
$0.00 Issuance Fee:
$38.00
O/H to U/G 1
$47.00
Additional Fee :
$0.00
Supplemental Fee:
$0.00
TOTAL Fee:
$132.00
Plan Check Fee :. $0.00
Fee Due at Permit Issuance
:_ $132.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of p, operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
n I am exempt from iicensure under the Contractors State License Law for the following reason:
by my'dignature I-e:Lh I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure fiat I Five built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professinns Codes available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/Calaw.htmL
Signature of Property Owner or Authorized Agent Date
LICENSED COATRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' n 000) of Division 3 of the Business and Profes s and my license is in full force
erd e'fnct.
I irensP Class ' License No Date Contractor Signature
N!^_ BY.FRS' COMPENSATION DECLARATION
DARNING FAILURF TO FECI IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
CO_R�OF COMPENSATION, CAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Itr affirm under pcnalty of perjury one of the following declarations:
e and w111'malntain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
rmaylce of the work for which this permit is issued. Policy No.
�Wve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
urance carrier and policy number are:
mer Policy Number Expiration Date
Keof Agent Phone #
I! that, in the performanc work fo hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'///���ompensation laws of California, and agree
t, if I should become subjec o th w rkerp— nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (({{�,,, ( ^
nature of Applicant Datek `C! [(0
CLARATION REGARDING CONSTRUCTION EMOING AGENCY
ueby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have pr 'ded is correct.
I agree to comply with all applicable city and county in ees-arntst@@to laws relating to building construction.
I authorize representatives of this city or county, ente he ab a retitled property for inspection purposes. //''�� ��_/�
nature of Property Owner or Authorized Agent_ - Print Property Owner's or Authorized Agent's Namdc4< IN L` W`r%`Z Date
ACTION
DATE
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DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AOMD RULE 1403.
PERMIT EXPfRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
P€RMITEXTENOED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
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CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
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208 EX. HH
208
2.20KW KW
-i _-
E
209
2.44KVA EX. CIC (5')
I
209 1/2 EX. 1-3" (25')
HH TO POLE
3.880
4.31KVA
207
206 N
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207 1/2
2.51 KW
1085KW2
2.78KVA
2.07KVA `�
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SPEED
204
LIMIT 0.90KW
5 1
20e111cw2
1 OOKVA
4.2
30
w-0.34.aax
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FL-2.25x
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ACP W
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BALBOA BL UB
5.87 C/L BALBOA BLVD
N
00 C/L 34TH STREET
Public Works
roved
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